Provider Demographics
NPI:1447478714
Name:FRANCIS, SHEIDA SEPEHRAR (MFT)
Entity type:Individual
Prefix:MISS
First Name:SHEIDA
Middle Name:SEPEHRAR
Last Name:FRANCIS
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11928 KIOWA AVE
Mailing Address - Street 2:#206
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90049
Mailing Address - Country:US
Mailing Address - Phone:310-824-7551
Mailing Address - Fax:310-208-0684
Practice Address - Street 1:1145 GAYLEY AVE
Practice Address - Street 2:#305
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90024
Practice Address - Country:US
Practice Address - Phone:310-824-7551
Practice Address - Fax:310-208-0684
Is Sole Proprietor?:No
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA38004106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist